Welcome to EAAA’s clinical work page

East Anglian Air Ambulance thrives on being part of the community it serves, and is committed to providing the highest standard of patient care possible. As part of this commitment, EAAA works hard to bring the best possible treatment, equipment, and skills to their service. This means being at the vanguard of clinical work research. Our clinicians, often consultants in emergency medicine or anaesthesia, are passionate about developing the most advanced emergency pre-hospital treatment for our patients. Research is an important part of this commitment to excellence; and so this page will demonstrate our work.

 – Alastair Wilson, Medical Director

Body-worn video cameras (BWVC)

The East Anglian Air Ambulance (EAAA) has equipped its crew members with body-worn video cameras (BWVC) to further enhance the standards of healthcare it offers. The Charity’s clinical staff are now wearing discreet body cameras when on missions throughout the East of England.

The patient and clinical data gathered during this process will not be shared with anyone external unless patient’s consent is granted. The only exception to this will be where EAAA is obliged to handover the footage to a higher authority. We envisage that these circumstances will be very rare and limited to cases where the police or courts require the information as part of a criminal investigation. Such footage will not be used for promotional reasons or for any purposes other than internal training.

Please note that EAAA sometimes works with external producers who record our missions for documentary television programmes using their own equipment and personnel. In these cases, separate consent arrangements will be used and managed by the production company.

  • Why do EAAA want to use body-worn video cameras?

    EAAA are continually working to ensure that we deliver the best possible care to our patients. Every incident is different, so it is standard practice for every case we attend to be discussed in detail in order to identify whether anything new can be learned. Any relevant learning points are then shared with all of our operational crews.

    The use of body-worn video cameras will allow the attending crew and their supervising consultant to review all aspects of the incident and aid in the development of individual practice. If we think it would be beneficial for all our clinical colleagues to see the original footage as part of the learning process, we will make all reasonable efforts to seek the explicit consent of those involved to share this.

  • What if I don't want to allow filming?

    We fully respect your wishes and the video will be immediately switched off, and any footage obtained prior to this will be immediately erased on return to the airbase.

  • How will this information be stored?

    The footage will be stored on a secure, restricted access computer located at the operational airbase. Recordings can only be seen by those authorised to see them, and access is logged and available for audit.

  • How long will the footage be stored for?

    The footage will be routinely deleted once viewed by the attending team or after 30 days, whichever is sooner. If a requirement is identified for the footage to be retained beyond 30 days, all efforts will be made to seek consent from those involved.

Research

Blood on Board Project

Clinical Work

EAAA clinicians will be taking part in a ground-breaking new study to investigate the effectiveness of giving patients blood products immediately after a major injury – before they reach hospital. The trial is being led by a group of researchers based in Birmingham.

 

The most important factor in treating shock is stopping the bleeding. There is no point in filling the bath if the plug is not in position! But sometimes plugging the holes immediately after injury is impossible and without some volume replacement the patient would die. Generally, we keep the blood pressure low and do our best to augment the patients clotting ability and get the patient into the operating theatre as quickly as possible.

 

A lot of military research into the early use of blood products was done in Afghanistan but this did not show whether or not there was any clear advantage to its use. Although blood is used by several prehospital care providers there is still no clear evidence that it benefits the recipient.  Indeed, the more blood that is used, the more likely the patient is to die. However, we believe that in a small number of patients, giving blood and freeze dried plasma may just be critical.

 

In the trial, air ambulances will be randomly stocked with or without blood products. Therefore, for eligible patients, the receipt of blood products prior to hospital admission will be determined by what the team that attends to them is carrying.

 

The research team, will then look at a number of outcomes, including physical and biochemical evidence of the effectiveness of resuscitation, in order to determine whether there are any differences between those who receive blood products and those who receive clear fluids.

 

EAAA Medical Director, Alastair Wilson said: ‘We currently do not know if giving blood and plasma early in the course of injury aids survival in spite of much military research on the topic. This trial which we are performing with several other air ambulance services including MAGPAS and EHAAT will determine whether this strategy is effective or not.  As such East Anglian Air Ambulance is delighted to be taking part in this very important trial’.